October 18, 2001

House Committee Meets In Memphis To Discuss State's Nursing Home Issues

Several area witnesses painted a problematic picture regarding the future of the nursing home industry for members of the House Select Committee on Nursing Home Care, which met at the Memphis Theatre October 15.

Representatives from several local care centers spoke to the 10-panel committee chaired by First District State Representative Sam Berkowitz. They discussed several troubling issues including declining revenue, deficit Medicaid reimbursement, shrink-ing labor force and growing governmental regulations.

Richard Dunn of the Department of Health and Senior Services told the committee of the state's 1,200 nursing homes and the likely impact that a growing senior citizen population will have on the industry. He noted there are currently as many as 21,000 empty beds in nursing homes and residential care facilities in the state.

"That creates a false sense of security as we will be pressed for services as the growing senior population arrives," Dunn stated.

Currently Missouri is home to 950,000 seniors. Dunn stated this number will more than double to two million seniors in the next three or four years. Currently seven percent of the senior population is in nursing homes. To meet these estimated numbers in the future, either the number of nursing home beds must rise or the percentage of seniors residing in nursing homes must drop to four percent.

In addition to the growing senior population, Dunn also pointed to a need for change in the industry, which is still often based on a 30-year old model.

"We must help our industry become better," Dunn said. "Thirty years ago we began to see the evolution of nursing home services when Medicaid really kicked in. At that time the services were predominantly provided to those who weren't really sick. These programs worked then, but now we must consider higher levels of care and specialized services for the greater needs of a growing number of patients."

Dunn explained the shift in care provided by nursing homes over this period, noting that a large number of residents in nursing homes likely would have been patients at hospitals 30 years ago and not in a residential care facility.

"Residents are living longer which poses greater challenges to meet all the needs of the patients," Dunn said. "The old model was not designed to accommodate the special needs and high medical service require-ments that we are seeing."

Now the service provided by nursing homes of old is being provided at home through home health care agencies. Now most residents are not entering nursing homes until they are forced to for medical reasons.

"We can't destroy the system, we simply must make it better," Dunn said. "We must introduce new techniques for new seniors that are going to be needing care in the future. We definitely have gained the ability to prolong life. Now we must be able to prolong the quality of life as well."

Carol Rodriguez testified to the committee regarding the biggest increasing specialization of care area, Alzheimer's Disease. She informed the committee members of the 100,000 Missourians that suffer from the disease. The numbers reach four million in the United States and are expected to grow to 14 million in the recent future.

Rodriguez stated the dramatic increase can be traced to the figures presented by Dunn regarding the rapidly increasing seniors population. She said that half of the nation's population over the age of 85 suffer from some form of dementia.

Alzheimer's Disease creates a large problem for the nursing home industry because of the nature of the illness. The average Alzheimer's patient lives for eight years after diagnosis with many living as much as 20 years.

Rodriguez also pointed out the growing cost of serving these residents. The average expense is $174,000 per individual.

She also pointed to home care issues, indicating as many as 70 percent of Alzheimer's patients are cared for at home, at least in the early stages of the disease. She noted that in-home health care, adult daycare and respite care can delay nursing home placement by an average of 300 days.

The number one issue created by the growing Alzheimer's problem is staffing said Rodriguez. There is a growing need for nursing career professionals that are appropriately trained to do the very difficult tasks involved with the disease she noted.

Rodriguez noted that Certified Nursing Assistants (CNAs) is the fastest growing national employment field. However the average national compensation level for CNAs is just $7.56. That compares to an average salary of $8.74 in retailed sales and more than $10 for unskilled factory employees.

Another trouble area noted by Rodriguez was the Medicaid guidelines, specifically the qualifying level that disqualifies anyone with cash assets of more than $1,000. She noted this figure had not been changed in more than 30 years.

Rodriguez gave the committee two recommendations. First, to maintain and maximize the in-home family care option for Alzheimer's patients. Secondly, she suggested the committee make every effort to sustain affordable medical care options for both citizens and the state.

Barbara Primm, of the Lockhead Care Facility in Macon told the committee the quality of care is a direct result of having adequate numbers of well-trained staff. She noted that the number and type of staff need to be related to care needs not just the number of patients.

Primm also addressed the state's quality control measures. She noted the state's survey process is often adversarial. She questioned why the survey process does not scrutinize the poorer facilities and leave the good ones alone.

The industry is facing a shortage of nurses that is comparable to what the education field is experiencing with a lack of teachers, Primm told the committee. She suggested making assistance available for education, transportation and childcare needs of prospective nursing employees. Primm also suggested lowering the restriction from 18 to 17 years of age to earn a CNA degree.

Currently CNA training goes on either in the nursing facility or in an area vocational technical school. It requires 75 classroom hours as well as 100 hours of on the job training.

The final main topic of discussion was the declining Medicaid reimbursement numbers for nursing homes. Robert Seamster, administrator of the Schuyler County Nursing Home told the committee that a recent study of care centers across the Midwest noted an average loss of $8.91 per day, per Medicaid patient.

He noted that much of the problem lies in the fact the maximum rates were set in 1995 and were based on 1992 cost reports.

He also cited a price index study that revealed a 22.4 percent increase in the consumer price index between 1984-89. During that same period the medical price index increased by 41.7 percent. Yet Seamster noted the Medicaid rate only increased 13.5 percent over that time frame.

Seamster told the committee that the Medicaid system must be looked at to allow nursing homes at least the ability to break even.

McBee, Alexander Named to Truman State University VP’s Honor Roll

The Office of the Registrar at Truman State University has released the Fall 2016 Vice President for Academic Affairs’ List.

To qualify for this list, an undergraduate student must attain a semester 3.50-3.99 grade point average and must complete 12 semester hours of credit.

Scotland County R-I graduates Lorrin McBee and Morgan Alexander were named to the honor roll.

Founded in 1867, Truman is Missouri’s public liberal arts and sciences university. Truman has the highest graduation rate among the state’s public colleges and universities. U.S. News & World Report has rated Truman as the No. 1 public university in the Midwest region for 19 consecutive years. Consumers Digest rated Truman as the No. 1 value in the nation among public colleges and universities.

BLEND to Perform at First Christian Church in Memphis on March 1st

Blend, an a cappella quartet, is returning to Memphis at 7:00 p.m. on Wednesday, March 1st at the First Christian Church in Memphis.  The a cappella group has made previous appearances in Memphis at both the First Baptist Church and the Memphis Theatre.

Blend was formed at John A. Logan College as a minor project that quickly blossomed into the makings of a successful career for its four members.  Johnathan Estes of the group says, “We started several years ago for a talent show and ended up winning.  From there, found we had a unique sound, so we decided to pursue it as a career.”   The real strength of Blend lies in their ability to entertain crowds of all ages with their energy, humor, renditions of songs which most everyone has heard at some time, all while keeping a Christian undertone.  In addition to their classic doo-wop routine, they are also a deeply spiritual group and love to share their gospel music as well.

The group has performed at churches with their Gospel arrangements and has wowed the crowds at other venues such as fairs, festivals and performing arts centers with their amazing a cappella version of the 50’s and 60’s.  They have been recognized and awarded “BEST OF SHOW 2006 and 2007” in Murray, Kentucky as well as many other awards.  In 2008, Blend appeared as special guests at the Dick Clark American Band Stand Theater in Branson, Missouri.  This led to an offer to perform their show in Branson at the Gene Williams Country Music Theater on a regular basis.  However, the timing was not right.  Blend had to decline the great opportunity due to their dedication to educational responsibilities and pursuits.

While 2008 proved to be a successful year for them, the group made some changes to the presentation of their show.  Developing a show fit for performing arts centers with a bit of nostalgic and unique flair, Blend began touring as far south as Florida and into the northern part of the country in states like Minnesota and South Dakota.  The show quickly gained attention as audiences across the Midwest grew fond of the sounds and entertainment that these four guys bring to the stage with each performance.  Due to this overwhelmingly positive response, Blend was offered the opportunity to perform full-time in the cities of Hannibal, MO and Paducah, KY in 2010.  The group, however, has continued to travel the country in order to be heard more broadly.

After making several appearances through the years in Hot Springs, Arkansas, the city proudly welcomed Blend to present shows daily at the Vienna Theatre through the summer of 2011 and 2012.  In 2014, they were asked to perform regularly at the Five Star Dinner Theatre. Nestled in the heart of downtown Hot Springs, Blend quickly became a “must see” show.  The success has continued for the group in the past few years as they have traveled and performed in spots all over the country.  Blend has worked with various artists, and can be seen performing backup vocals on Ronnie McDowell’s show as well as on his album entitled, “I’m Gonna Dance with the Ones that Brought Me.”  Come see for yourself why people across the country are raving about the very entertaining a cappella quartet from Southern Illinois.  You won’t be disappointed.

For more information about the quartet, visit their website at http://www.blend-acappella.com/.

International Eyecare Center Memphis Office Has Moved

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International Eyecare Center in Memphis, Missouri has moved to a new location! IEC is still located on the Scotland County Hospital campus, but has moved to the former Scotland County Health Department building.  Optometrist Dr. Kelly Sharpe will begin seeing patients in the new facility on Tuesday, February 21st.

“We are looking forward to utilizing the added space to offer our patients a more comfortable overall experience when they visit us,” said Dr. Kelly Sharpe.  Sharpe sees patients in the Memphis, MO location on Tuesdays and Thursdays.

“We love being a part of the Memphis medical community,” said Ashley Lay, Regional Manager at International Eyecare Center.  “For a smaller town, it is very impressive that Memphis has so much to offer its community and we are excited to continue to add to it.”

International Eyecare Center has been serving the Memphis, MO community for over five years.  IEC has thirteen offices in Illinois, Iowa, and Missouri and was founded in 1981 in Quincy, IL.  International Eyecare Center offers the latest in eye healthcare, contact lens innovations, fashion eyewear, and comprehensive eye exams for the entire family.

To schedule an appointment call toll-free at (877) 457-6485.  Appointments can also be made online at www.iec2020.com.

Lady Tigers Withstand Hot Start by Van-Far to Win District Opener 75-56

Ashleigh Creek had a big first period to help Scotland County withstand a hot start by Van-Far in the district opener.

Early on in Monday night’s district opener, it appeared like the bracket builders may have made a mistake as the #7 seed Van- Far looked like state champions. The Lady Indians came out on fire, scoring 24 first period points to give #2 seed Scotland County a scare.

Van-Far was on fire from three-point range in the opening eight minutes, sinking six shots from behind the arc.

The Lady Indians opened the scoring with a pair of three-pointers. Abi Feeney started Scotland County off with a drive to the hoop. Chelsea Wood then sank a pair of free throws before Ashleigh Creek hit back-to-back jumpers to pull SCR-I within 9-8. Wood and Creek each had buckets in the paint before Maddie Brassfield sank a three-pointer. A Brassfield free throw knotted the score at 16-16 with 1:31 left in the first period.

Van-Far sank a pair of three-pointers to close the opening frame on top 24-18.

“Obviously that’s not the start you want,” said Coach Cory Shultz. “But I knew our defense was better than that, and it was going to be extremely difficult for them to maintain that level of shooting for four quarters.”

Madie Bondurant made a steal and scored on the fast break to start the second period. Brassfield sank a three-pointer before Abi Feeney converted two free throws. Brassfield scored in the paint with 5:55 left in the second period to give the Lady Tigers their first lead of the game at 27-26.

Calesse Bair scored on an offensive rebound and Feeney followed with a drive to the rim. Bair then stole the inbounds pass and scored a transition bucket to extend the lead to 33-26 and force a Van-Far timeout.

The Lady Indians pulled within two points before Feeney sank two more free throws. A jumper by Creek ended the second period with SCR-I on top 40-35.

Scotland County began to pull away in the third period. Wood opened the quarter with a pair of buckets in the paint and Feeney added a three-point play to push the lead to 47-37.

Chelsea Wood

Scotland County went to the free throw line 13 times in the third period, converting on nine of those chances, before Brassfield capped off the quarter with a three-pointer to put Scotland County out in front 58-42.

Brassfield opened the fourth quarter with a basket off an offensive rebound. Feeney sank four straight free throws to make the score 64-45 with 6:40 left to play. Wood scored on a drive to the hoop and added two more field goals in the paint to cap off a big night. Feeney continued to beat Van-Far off the dribble, scoring on a drive to the hoop before heading back to the free throw line for two more points. The senior made 14 of 15 from the charity stripe on the night, finishing off the 75-56 win for SCR-I.

Scotland County improved to 23-1 on the year and advances to the Class 2 District 6 semifinals to take on #3 seed Paris, a 60-31 winner over Canton.

Feeney led the Lady Tigers with 22 points. Wood finished with 20 while Brassfield had 14 and Creek added nine.

Abi Feeney

Lady Tigers Improve to 22-1 with 47-32 Win at North Shelby in Regular Season Finale

Chelsea Woods goes up for two points in the win over North Shelby.

An off night from long range made for a low-scoring affair Tuesday night at North Shelby, but the Scotland County girls still had more than enough firepower to put a damper on the Raiders senior night festivities with a 47-32 victory.

SCR-I struggled shooting the ball in its regular season finale, connecting on just three three-pointers on the night.

Two of those long distance shots came in the first period, as the Lady Tigers jumped out to a 14-6 lead. SCR-I actually fell behind 4-0 before Abi Feeney connected on a jumper. A three-pointer by Calesse Bair put the Lady Tigers up for good, at 5-4, before Chelsea Wood scored in the paint. A three-pointer by Maddie Brassfield extended the margin to 10-4 with 3:19 left in the first period and forced a North Shelby timeout.

Feeney sank a three-pointer to start the second period to extend the lead to 17-6. The senior point guard then went to work off the dribble, dissecting the North Shelby defense with penetration moves that netted her 11 second-period points.

Sadie Davis fires up the three-pointer.

SCR-I looked poised to truly blow the game open in the third period. Feeney scored on another drive to the hoop before Wood added a field goal in the paint. Bair scored back-to-back transition baskets off of turnovers created by the SCR-I press, making the margin 37-18 and forcing another North Shelby timeout.

The Raiders corrected their issues against the press, but SCR-I still went ahead 44-26 on baskets by Feeney, Wood and Bair.

The offense went dormant in the fourth period. SCR-I did not score until there was just 45 seconds left in the contest, with Bair making three of four free throws in the final minute.

Fortunately the defense was up to the challenge, holding North Shelby to just six fourth quarter points to help secure the 47-32 win.

Abi Feeney gets to the rim for two of her game-high 17 points in SCR-I’s regular season finale win at North Shelby.

Scotland County closed out the regular season with a 22-1 record, the team’s third straight 20-win season. Feeney led the way with 17 points. Bair finished with 16 points and Wood added 11.

CHARLES H. BRADLEY (5/21/1935 – 2/11/2017)

Charles H. Bradley, 81, of Memphis, Missouri passed away Saturday evening, February 11, 2017 at the Scotland County Care Center in Memphis.

The son of Estel Floyd and Lily Hazel Ellicott Bradley, he was born May 21, 1935 in Memphis, Missouri.

He attended school and graduated from the Memphis High School. After graduating he joined the United States Army and served a term there before coming back to help run the family businesses of Bradley Car Sales and Bradley Auto Parts.

After his parents passed he decided to sell the business and served as an alderman for the City of Memphis as long as his health allowed him to.

Charlie was a lifelong active member of the United Methodist Church in Memphis, serving as an usher when he was called upon until he moved to the care center.

His interests included following the St. Louis Cardinals, buying season tickets for the home games and attending the home games as well as stock car races in the area.

He was an avid collector of St. Louis Cardinals memorabilia, even a lap blanket that he used later when he was a resident at the Scotland County Care Center. Charlie was fine as long as he had his radio and every day he would tune in to the St. Louis Cardinals.

He was preceded in death by his parents.

Survivors include his cousin, Bob (Linda) Ellicott along with other relatives and friends.

Memorials in his memory may be made to the donor’s choice and may be left at or mailed to Payne Funeral Chapel, 202 E. Madison St. Memphis, Missouri 63555.

Funeral services were held Wednesday morning, February 15, 2017, at 10:00 A.M. at the Payne Funeral Chapel in Memphis with Pastor Paul Smith officiating. Interment followed in the Memphis Cemetery with full military honors provided by the Wallace W Gillespie V.F.W.Post #4958 of Memphis and two from the honor guards unit. Pallbearers were Rick Robinson, Leon Buford, Doug Freburg, Ronnie Tinkle, Dennis Bradley, and David Trueblood.

Online Condolences may be sent to the Family by logging onto Payne’s website at www.paynefuneralchapel.com

Arrangements were entrusted to the care of the Payne Funeral Chapel in Memphis.

Scotland County Senior Nutrition Center

MENU

Thursday, February 23 – Liver and Onions or Chicken Pattie, Mashed Potatoes, Green Beans, Bread, Fruit

Friday, February 24 – Fish Fillet, Macaroni and Cheese, Baked Beans, Pickled Beets, Fruit Juice, Cornbread, Peanut/Butter Dessert

Monday, February 27 – Goulash, Italian Blend Vegetables, Lettuce Salad, Hot Roll, Peach Crisp

Tuesday, February 28 – Salisbury Steak, Mashed Potatoes/Gravy, Buttered Carrots, Bread, 5 Cup Salad

Wednesday, March 1 – Fried Chicken, Mashed Potatoes/Gravy, Green Beans, Hot Roll, Fruit Salad

Thursday, March 2 – Tuna Noodle Casserole, Lettuce Salad, Pinto Beans, Pineapple, Bread, Oatmeal Cookies

ACTIVITIES

Thursday, February 23 – Card Party at 5:00 p.m.

Sunday, February 26 – Fundraiser Soup Lunch from 11:30 a.m.-1:00 p.m. Free will donation. Carry-outs available, call 465-7011.

Monday, February 27 – AAA and Care Board Meeting at 10:00 in Shelbina.

Thursday, March 2 – Card Party at 5:00 p.m.

VIRGINIA MAY (INSKIP) HUTSON (8/17/1947 – 2/12/2017)

Virginia May (Inskip) Hutson, age 69, of Windermere, FL, passed away Sunday, February 12, 2017, in Florida Hospital Celebration Health in Celebration, FL.

She was born August 17, 1947, in Memphis, MO, the daughter of Charles Sylvester Inskip Sr. and Vera May Pulis Inskip.

She was united in marriage to William A. Hutson and to this union one daughter was born.

Surviving is her daughter Margaret May Hutson of Windermere, FL; one sister and four brothers, Lois Walker and husband Charles of Macon, MO, Charles J. Inskip and wife Linda of Rolla, MO, Charles S. Inskip Jr. and wife Vicky of Moberly, MO, Larry D. Inskip of Armstrong, MO, J. Dean Inskip and wife Carol of Ashland, MO, including many nieces, nephews, & cousins.

Virginia was preceded in death by her parents, and a brother Carl Ray Inskip.

Virginia was raised in Derby, Colorado where she received her education.

She was briefly employed with Banquet Foods in Macon, and worked in a nursing care facility in Columbia, MO. She also lived in Rolla, Macon, Higbee, Edina, and Moberly, MO; then moved to Florida in 2008 where she lived with her daughter Margaret.

Hobbies included Embroidery and collecting many types of hummingbird figurines, collectable plates of many varieties, and collectable spoons.

Memorial services were held Saturday February 18 at the Hudson-Rimer Funeral Home in Edina, MO.  Reverend Mike Myers officiated the services.  Burial was in the Linville Cemetery.  Arrangements were under the direction of the Hudson-Rimer Funeral Home in Edina, MO.

Donations in lieu of flowers may be made to MargAret Hutson to help cover expenses.  Memorials may be left at or mailed to Hudson-Rimer Funeral Home, P.O. Box 1, Edina, MO, 63537.

New Beginnings

There is a major part to the Christian belief system that tends to get past some; well…. maybe all of us.  That would be the truth, the fact, that in Christ we are new day by day.  Oh how we struggle to live this out.

At County Fairs some have a competition called a Tractor Pull.  One by one, each tractor is at the starting line pulling a cart with weights that transition into a heavier load as the trek progresses.  Eventually, the tractor stops in its tracks because it can no longer pull the load.  The one that travels the greatest length gets the trophy.

Our daily walk is sometimes just like a Tractor Pull.  The further into the day, the heavier the load until we are shut down in our tracks.  God is very much  aware of our dilemma and is devoted to its reversal. If God is anything, He is all about new, renewal, renewing.  Bible expression and confirmation is there for a reason.  He knows we will experience deep stress and provides a way out.  This isn’t just church chatter.  This is to be life… your life… my life… renewed life… day after day.

Therefore we do not lose heart, but though our outer man is decaying, yet our inner man is being renewed day by day (II Cor. 4:16).

Therefore if any man is in Christ, he is a new creature; the old things passed away; behold, new things have come (II Cor. 5:17).

It is for this very reason that Jesus called for our new beginning by being born again. Such isn’t a church doctrine as much as it is designed to restart our engines when we do more sputtering than effectively moving forward. Renewal…it’s a daily thing… so look toward it.  Experience it.  And tomorrow?  Start all over… new… again!

 

NEW BEGINNINGS

VIRGINIA MAY (INSKIP) HUTSON (8/17/1947 – 2/12/2017)

Virginia May (Inskip) Hutson, age 69, of Windermere, FL, passed away Sunday, February 12, 2017, in Florida Hospital Celebration Health in Celebration, FL.

She was born August 17, 1947, in Memphis, MO, the daughter of Charles Sylvester Inskip Sr. and Vera May Pulis Inskip.

She was united in marriage to William A. Hutson and to this union one daughter was born.

Surviving is her daughter Margaret May Hutson of Windermere, FL; one sister and four brothers, Lois Walker and husband Charles of Macon, MO, Charles J. Inskip and wife Linda of Rolla, MO, Charles S. Inskip Jr. and wife Vicky of Moberly, MO, Larry D. Inskip of Armstrong, MO, J. Dean Inskip and wife Carol of Ashland, MO, including many nieces, nephews, & cousins.

Virginia was preceded in death by her parents, and a brother Carl Ray Inskip.

Virginia was raised in Derby, Colorado where she received her education.

She was briefly employed with Banquet Foods in Macon, and worked in a nursing care facility in Columbia, MO. She also lived in Rolla, Macon, Higbee, Edina, and Moberly, MO; then moved to Florida in 2008 where she lived with her daughter Margaret.

Hobbies included Embroidery and collecting many types of hummingbird figurines, collectable plates of many varieties, and collectable spoons.

Memorial services were held Saturday February 18 at the Hudson-Rimer Funeral Home in Edina, MO.  Reverend Mike Myers officiated the services.  Burial was in the Linville Cemetery.  Arrangements were under the direction of the Hudson-Rimer Funeral Home in Edina, MO.

Donations in lieu of flowers may be made to Margaret Hutson to help cover expenses.  Memorials may be left at or mailed to Hudson-Rimer Funeral Home, P.O. Box 1, Edina, MO, 63537.

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